IN LIEU OF IEP TEAM ATTENDANCE REPORT Student ________________________________ Grade ___________ IEP Team Meeting Date ________ Excused IEP Team Member ___________________________________ Curricular or Related Service Area(s) ___________________________ Directions for excused team members: Complete this form if you have been excused from the IEP Team meeting and your area of curriculum or related service will be discussed in your absence. Attach copies of relevant reports, draft IEP pages, additional information, etc. Provide this report to the IEP Team chairperson and the parent prior to the meeting. PRESENT LEVELS OF ACADEMIC ACHIEVEMENT AND FUNCTIONAL PERFORMANCE: ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ __________________________________________________________________________________________ SUGGESTIONS FOR GOALS/MODIFICATIONS/ACCOMMODATIONS/SERVICES: ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ __________________________________________________________________________________________ _____________________________________ ___________________________ Excused Team Member Signature Position __________________ Date Parent Statement: I have been provided an opportunity to review this report prior to the development of the student’s IEP. ____________________________________________________ ___________________________________ Parent Signature West Virginia Department of Education July 2013 Date